Jackson, Sonya

Jackson, Sonya is an sole proprietor health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93422-5808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jackson, Sonya can be contacted via phone (805) 468-2000.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93422-5808
Phone: (805) 468-2000
Fax: (805) 468-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A078401 California

Profile Details

NPI number 1841275336
LBN Legal business name Jackson, Sonya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Jul 10th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841275336 NPPES
California MEDICAID 00A784010

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